OPTIMUS HEALTH CARE INC (NPI# 1669445946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669445946 |
| Entity Type | Organization |
| Organization Name | OPTIMUS HEALTH CARE INC |
| Practice Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Mailing Address |
982 E Main St Bridgeport CT 06608-1913 |
| Practice Telephone | 2035763885 |
| Practice Fax Number | 2036833620 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2036833620 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | LUDWIG SPINELLI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2036963260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0073 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004234788 | 05 | |
| CT | MEDICARE PART B | C00383 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235485236 | Optimus Health Care Inc | Clinic/Center | 3180 Main St Ste G1, Bridgeport, CT 06606-4237 | 2012-07-27 |
| 1780944736 | Optimus Health Care Inc | Clinic/Center | 597 Pacific St, Stamford, CT 06902-5814 | 2012-05-24 |
| 1164798138 | Optimus Health Care Inc | Clinic/Center | 8 Woodland Pl, Stamford, CT 06902-6939 | 2012-03-23 |
| 1346516317 | Optimus Health Care Inc | Clinic/Center | 1071 E Main St, Bridgeport, CT 06608-1618 | 2012-03-23 |
| 1609142678 | Optimus Health Care Inc | Clinic/Center | 138 Stillwater Ave, Stamford, CT 06902-4843 | 2012-03-23 |
| 1073992764 | Optimus Health Care Inc | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2015-05-27 |
| 1659641363 | Optimus Health Care Inc | Clinic/Center | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-01-11 |
| 1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
| 1215207782 | Optimus Health Care Inc | Clinic/Center | 82 George St, Bridgeport, CT 06604-3315 | 2011-12-30 |
| 1922378496 | Optimus Health Care Inc | Clinic/Center | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2011-12-30 |
| Street Address |
471 BARNUM AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194042 | Karana Marie Pierre | Podiatrist | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2005-06-15 |
| 1447898861 | Gustavo David Herrera-brito | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-12-16 |
| 1154889764 | Jennifer Elovich Kolakowski | Social Worker | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-03-04 |
| 1629593744 | Jennifer Nichol Gilbert | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2017-08-09 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1023397510 | Esther M Mervil | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2011-08-15 |
| 1659585313 | Norman J Weinberger | Pediatrics | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2007-05-10 |
| 1417079286 | Eileen Crutchlow | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2007-04-04 |
| 1376608364 | Katherine A Golar | Family Medicine | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-12-27 |
| 1669548376 | Optimus Health Care | Clinic/Center | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| Find all providers in zip 06608 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1326434846 | Community Care of West Virginia, Inc. | Clinic/Center | 515 Johnston Avenue, Bridgeport, WV 26330-1311 | 2015-04-10 |
| 1912392358 | Community Care of West Virginia, Inc. | Clinic/Center | 531 Johnson Ave, Bridgeport, WV 26330-1311 | 2015-04-02 |
| 1497176390 | Family Health Centers | Clinic/Center | 1015 Columbia Ave, Bridgeport, WA 98813 | 2013-12-18 |
| 1235485236 | Optimus Health Care Inc | Clinic/Center | 3180 Main St Ste G1, Bridgeport, CT 06606-4237 | 2012-07-27 |
| 1346516317 | Optimus Health Care Inc | Clinic/Center | 1071 E Main St, Bridgeport, CT 06608-1618 | 2012-03-23 |
| 1619348844 | Community Care of West Virginia, Inc. | Clinic/Center | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2015-10-14 |
| 1659641363 | Optimus Health Care Inc | Clinic/Center | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-01-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
Please comment or provide details below to improve the information on OPTIMUS HEALTH CARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.